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  Age Lines


By: Jennifer Huget
Washington Post, July 16, 2002

   

Beauty Parlor Danger

Older people who get dizzy during salon-style hair washes may be at increased risk of stroke. Researchers have long suspected a link between the familiar lean-back-over-the-basin position and stroke, which occurs with some frequency (though exactly what frequency is not known) among older people during or just after salon washes.

Patrick Foye of the University of Medicine and Dentistry of New Jersey in Newark measured blood flow, pain and dizziness in 25 men and women, whose average age was 72, as they assumed the position. Nearly half experienced dizziness, a symptom originating from the part of the brain involved in so-called "beauty parlor strokes." None had a stroke during the test, however.

Foye found that a simple neck support being developed by a colleague might minimize symptoms and reduce stroke risk. In the absence of such a cervical support, older people with prior stroke or neck conditions "may want to exercise caution when deciding whether to have a salon sink shampoo."

Brothers and Sisters of 100

Siblings of people who have lived to be 100 have a way-better-than-average chance of hitting that mark themselves. Thomas Perls, director of the New England Centenarian Study, studied 444 families in which at least one member had lived to 100 or older.

Comparing siblings' death rates throughout their lives, he found sisters of centenarians had half the risk of dying at any given age compared with the national average. Brothers' risk was about the same as sisters', except during the accident-prone teenage and early adult years. Compared with the general population, brothers of centenarians were 17 times more likely to reach 100, while sisters were about eight times more likely to do so.

The study, funded in part by the National Institute on Aging (NIA), suggests that "the things that protect you against major diseases of old age may have implications across your whole life," says NIA's Evan Hadley. "When we study aging, it's useful to look not only at disease risk factors" but protective factors like genes too.

Weight Training and Belly Fat

Resistance training can help older men and women maintain the strength and stamina to do everyday tasks like carry groceries or pick up a grandchild. But for women, there's an added bonus from working out with weights: It can trim tummy fat, also known as intra-abdominal adipose tissue, which has been linked to diabetes, heart disease and increased death risk. The same exercise doesn't provide that benefit for men.

Gary Hunter of the University of Alabama at Birmingham had 12 women and 14 men, whose average age was 67 and whose general health was good, embark upon a 25-week resistance training regimen that included leg and back extensions, bench presses and bent-leg sit-ups. He found similar gains in strength among male and female participants. But while women lost about 15 cubic centimeters of tummy fat, men actually gained a bit in the belly.

Men shouldn't be discouraged by these findings, Hunter says, as the benefits of resistance training extend beyond minimizing one's middle. Building muscle mass helps to burn more calories, making it possible for older people to take in more nutrients without gaining weight. And, he adds, in terms of ability to perform daily activities, resistance training "can turn the clock back 20 to 30 years."

"Good" Cholesterol and Dementia

Too little HDL cholesterol -- the "good" kind, as opposed to LDL and triglycerides -- may be a cause of dementia in the very elderly.

In a study published in Annals of Neurology, Anton de Craen of the Netherlands' Leiden University Medical Center reports that among 561 85-year-old men and women, those with the lowest blood levels of HDL cholesterol were more than twice as likely to have dementia as those with the highest HDL levels; when those with a history of cardiovascular disease or stroke were eliminated, the difference was nearly fourfold. While cardiovascular disease is a known risk factor for dementia, de Craen's work may help determine whether the disease itself or the underlying cholesterol imbalance is at the heart of the problem.

In the typical man, HDL cholesterol levels range from 40 to 50 milligrams per deciliter (mg/dL) of blood, according to the American Heart Association. In women, the range is 50 to 60 mg/dL. Anything below 40 mg/dL, de Craen says, is considered low. Losing weight, exercising regularly and stopping smoking are often recommended as ways to increase HDL.

Never Quite Set in Your Ways

The term "set in your ways" may need revisiting in light of a study that shows personality disorders and odd social behaviors can change over time. The work contradicts the idea that personality types remain constant for a lifetime, says Peter Tyrer of London's Imperial College of Science, Technology and Medicine.

Using a standard test to assess 178 participants suffering from a range of personality disorders at the beginning and end of a 12-year period, Tyrer found that while anxious, fearful and obsessional traits ("Scooby-Doo" features, as Tyrer calls them) and eccentric personalities tended to worsen, "flamboyant" personality characteristics (aggression, impulsivity and irritability -- "Mike Tyson-like" traits) actually diminished. "We should be much more aware of changes in personality accounting for changes in behavior in older people," writes Tyrer.

"We already had some evidence that antisocial personalities improve in middle age but did not appreciate that anxious, obsessional, suspicious personalities got worse," Tyrer notes. "This is highly relevant for a population that is getting steadily older. If this is going to be accompanied by more difficulties in relationships with other people, it is a matter of concern and may lead to more being unable to live independently."

 


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